Okay, so looks like while we are on our trip we are to hold the Depakote ER at 500mg and the Seroquel at 200mg, unless he gets worse, and then go to 300mg of Seroquel XR (picking up the scrip tomorrow).
I just saw him at recess and he was pulling on the collar of another kid's t-shirt, stretching it out 
He thought it was funny, but clearly the other kid did not and I stopped him and discussed it with him. He just had a goofy look on his face and then said he was sorry, all the while looking like he was laughing inside, and then quickly jumped to another topic as he walked away from me.
So how do you tell if this is mania or ADHD?
How do I know if the Seroquel needs to go up?
How do I know if it's appropriate to add 5 or 10mg of Focalin for these behaviors instead?
Is it all just trial and error? I guess that's why we pay the psychiatrist...
I just called psychiatrist and left a voicemail with these questions.
Aaaargh. Too much to think about and too much to do today.
